Guest guest Posted January 10, 2002 Report Share Posted January 10, 2002 http://www.claimsmag.com/Issues/Dec01/mold.asp Mold Remediation 101: An Overview By L. Harman With claims involving mold damage escalating into the millions of dollars, it's no surprise that adjusters and restorers alike are looking for long-term, cost effective solutions. States across the country are developing and adopting legislation to address the growing concerns of consumers, contractors, and adjusters. California and Texas in particular, have seen multi-million dollar judgments against insurance companies, and Texas is considering capping mold liability for insurers at $5,000. There are no easy answers to this growing problem, but a number of practical solutions exist. Mold is the result of ignored or improperly restored moisture damage. It can be from a roof or window that leaks, a basement that floods, a toilet or tub that overflows, water pipes or cold air ducts that sweat, even a reverse osmosis system that drips continuously. Whatever the cause, if left untreated, the result will likely be some sort of mold growth. The good news is that 95 percent of these moisture problems are preventable. The difficult question for insurers is whether the water source is a covered peril. The battle against mold is often won or lost in the first 24 to 48 hours after the water intrusion. " The sooner mitigation services are initiated, the better the opportunity to reduce the loss, " explained Cliff Zlotnik, president of the Association of Specialists in Cleaning and Restoration. " Water damage is a progressive condition, the longer it stays wet, the worse it gets. " Mold growth requires three conditions: a nutrient source (drywall, carpeting, ceiling tiles), moisture (from any source), and an optimum temperature. Darkness and still air further encourage its growth. Mold can thrive on drywall, in ventilation systems, on wood, wherever moisture is left untreated. The species most likely to develop are Chaetomium, Paecilomyces, Trichoderma, Aureobasidium, Aspergillus, Penicillium, Cladosporium, Altenaria, Fusarium, and Stachybotrys, but none of these can be identified simply by color or odor. The adverse health effects on humans from prolonged exposure to such mold spores may range from runny noses, coughs, nosebleeds, and congestion to upper respiratory ailments including asthma or bronchitis. For individuals with weakened immune systems (e.g., from chemotherapy or AIDS), the results of exposure can be life threatening. " There is a misplaced emphasis on identifying mold species, " said L. King, technical advisor to the National Institute of Disaster Restoration (NIDR). " All mold must be remediated and with the same level of caution. " Guidelines, Scopes, Labs Although a number of guidelines have been generally accepted by the industry, these are not the final word in any remediation situation. The New York City Guidelines (www//nyc.gov/html/doh/html/ epi/moldrpt1.html) and the ACGIH Bio Aerosols: Assessment and Control Book (www.acgih.org) outline recommendations for various mold remediation situations. Information on the Environmental Pro-tection Agency web site (www.epa.gov/ iaq/molds/index.html) includes prevention; investigating, evaluating, and remediating moisture and mold problems; a list of resources; a glossary; an introduction to molds; and a section on communicating with building occupants. The New York City Guidelines are often used as the starting point in remediation projects and address five different levels of mold contamination. (For a more comprehensive review, please consult the New York City Department of Health " Guidelines on Assessment and Remediation of Fungi in Indoor Environments. " ) Level 1 - Covers an area comprising less than 10 square feet Applies to ceiling tiles, small area problems, or unoccupied work areas. Containment is unnecessary; however, dust suppression methods on surfaces prior to remediation, as well as training and protective equipment for workers, are recommended. Contaminated materials that cannot be cleaned should be removed from the building in sealed plastic bags, and all areas should be left dry and visibly free from contaminated debris. Level 2 - 10 to 30 square feet Uses the standards included in Level 1. Respiratory protection (e.g., disposable respirator), gloves, and eye protection should be worn. The work area should be covered with plastic and sealed with tape to contain the dust, and work areas for egress should be HEPA vacuumed and cleaned with a damp cloth or mop and detergent. Level 3 - 30 to 100 square feet This level requires consulting a health and safety professional with experience in performing microbiological investigations, training personnel in the handling of hazardous materials, following OSHA recommendations for respirators, and sealing the work area, as well as ventilation ducts in the work space and adjacent areas. Level 4 - Spaces greater than 100 square feet (contiguous) Again, an individual with experience in performing microbiological investigations should be consulted prior to beginning the remediation. Full-face respirators, as well as disposable protective clothing, should be worn, and containment of the work area is more specific, as are procedures for cleanup. Areas adjacent to the work area should be unoccupied, and air monitoring is required to determine when re-occupancy is safe. Level 5 - HVAC contamination Areas less than 10 square feet can be handled by regular building maintenance staff, while health and safety professionals should be consulted for larger areas. As is often the case, there are some who question the basis for these guidelines, which essentially relate to the presence of stachybotrys chartarum atra on drywall. For example, " Does the difference between 30 and 31 square feet justify shifting to a substantially higher level of response? " This underscores the absence of a definitive standard. A protocol for mold remediation begins with guidelines and should include the specifications and scope of work, according to Terranova, of Terra Nova in Las Vegas, Nev. Terranova was the remediation contractor who wrote the standard operating procedures (SOPs) for the first recorded case of stachybotrys chartarum atra in the state of Nevada. His SOPs for the project were based on information provided by Philip Morey's specifications and scope. (Morey was one of the six panelists who wrote the New York City Guidelines.) " My SOPs are designed to include protection for residents, employees, and visitors in the adjacent clean areas, " explained Terranova. The authors of SOPs, specs, and scopes address guideline issues, subject to their knowledge and experience, including: - Health & Safety Personal Protection Equipment Decontamination procedures - Environmental Assessment Baseline, monitoring, and clearance sampling - Remediation Isolation techniques Emergency exit plan Pressure differentials and air flow design Chemical use Debris handling and dumping - Hazard Communication Logging procedures Common Mistakes Simple errors or oversights at any time during the process - from the initial response to the final clearance testing - can affect the final cost of the remediation procedure. Here are 10 things to be aware of during a mold remediation project: 1. You can't just spray it away. Although antimicrobial agents may be valuable tools during the remediation process, they are not the solution for fungal growth. 2. Similarly, there are those who believe that every event should be sprayed or disinfected with a biocide. The misconception is in not understanding that some fresh water floods, when dried quickly, do not need to be treated. " When applying chemicals, we always run the risk of exposing the client to other (and possibly more serious) hazards, " said Jim Pearson, of Americlean in Billings, Mont. Prudence is the key in these situations. " The contractor should ask the customer about sensitivities to odors. He should identify the source (clean, gray, or black water), assess the contaminants present and the age of the flood, investigate for mold growth, and follow industry standards to remediate, " said Pearson. Since biocides are EPA-registered, any application should strictly adhere to the product's printed instructions. 3. Look below the surface. The problem is often worse than you think or can visualize. Mold often grows on both sides of building materials. There is the visibly exposed side, but the damage on the unexposed side is often even more extensive. 4. Biases may be blinding. A restoration company that is inexperienced in handling water damage claims may fail to look beyond its expertise and comfort level. For example, if the company is unfamiliar with HVAC systems, these systems may be overlooked entirely. Drying companies may recommend drying materials that should be replaced, while construction companies may recommend replacement of structural materials that can be dried effectively. Also, the use of air movers in mold situations may actually spread mold spores more widely. 5. Don't forget about common sense. The guidance documents mentioned above are excellent resources for mold remediation methods and issues, but they are not the law and do not supercede actual common sense. 6. Ask about refloods and old damage. Often, the mold found during remediation is the result of a water intrusion that occurred months or even years earlier. Mold generally takes 30 hours or more to form (grow to colonies and be large enough to be recognizable). " Once a few colonies form, all that is needed for them to literally mushroom in quantity is for the area to become wet again, " explained Pearson. " Keep in mind that a serious mold condition after a flood is not necessarily due to the flood, but may have been caused by the homeowner's simply 'sucking up' the water the last time the area flooded. " From an insurance standpoint, this may be an important fact to determine coverage, " Pearson continued. " We work for the customer, but what we tell the adjuster could affect the coverage. It puts us in a difficult position. Adjusters rely on us to prevent future mold growth through proper remediation (quick response, applying biocides, fast drying), but when we advise them that expensive demolition of moldy sheetrock is called for, they want to know why. Customers, on the other hand, want to get everything possible covered, even though the problems have been exacerbated by their actions (or inaction) during a prior flood or a delay in reporting present losses, giving the mold a chance to set in. " The best thing a contractor can do is to stick to the facts and avoid trying to interpret policy coverage. 7. While not all molds are toxic, all molds are allergens and have the potential to adversely affect human health. There are no safe or unsafe molds. The CDC states that, " whether stachybotrys or penicillium, all mold should be treated the same. " " While some in our industry take this as saying mold is not a problem, " said Pearson, " I think it's important to note that the rest of their [CDC's] statement is, 'Seriously.' My advice is to walk the thin line between being alarmist and downplaying the issue as not being important. " 8. Hire the right person for the job. " When you are involving an industrial hygiene or testing lab, it is important to use one that can identify the mold species involved and write the proper protocol for remediation, " according to VanDover, vice president of restoration services for Woodard Cleaning & Restoration and NIDR chairman. " Qualified remediators will want protocols written for them. It's also important that the person handling the remediation is not the same person doing the testing or writing the protocol. " 9. Beware of invoices without protocols. " Bills from a contractor without a protocol attached should raise a red flag for the adjuster, " said VanDover. " You should be able to compare the scope of the work with the actual charges. " The scope will indicate specifics such as the need for containment with negative air pressure. Invoices that include charges not specified in the scope should be questioned. 10. Moisture migration plays a role. " Moisture migration is the number one cause associated with mold growth, " said Terranova. " Moisture migration from exterior pathways to the interior of a building can cause mold growth if left unabated long enough. Leaky roofs, gutters, windows, doors, and exterior cladding (i.e. stucco, siding, brick, etc.) are primary exterior moisture migration pathways. Improper ground elevation and slopes are large contributors to ground water migration to the interior of a building. Wicking ground water into building components can also cause mold growth. " Whether they realize it or not, the goals of both the insurance adjuster and the restoration professional are often the same. " What adjusters may overlook is that, while a professional restorer's best service may be costly, it is actually less expensive to do the job right the first time, " said Pearson. " My advice for them is to learn about the proper procedures and the cost of doing business. They should seek out those companies who make the investments in training and equipment because this shows a commitment by the restoration company, which usually translates to professional, no-call-back service. " The mold remediation industry is still evolving as information is developed, procedures are updated, and additional safeguards are implemented. Like physicians, adjusters and restoration professionals should adhere to the motto: " First, do no harm. " Unfortunately, with mold, doing nothing may be the most dangerous option of all. Special thanks to Cliff Zlotnik, CR, WLS, CMH; Terranova, WLS, CMH; King, CR, AM; VanDover, CR; and Jim Pearson, CMH, for their contributions to this article. L. 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